| NPI | 1831152958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.046596) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35.046596) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-07-21 |